NPI | 1578147328 |
---|---|
Former Name | BRIANA ASHLEY-RAE CUNNINGHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013790) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11013790) |
Enumeration Date | 2021-05-07 |
Last Update Date | 2024-05-29 |