NPI | 1588235170 |
---|---|
Former Name | BRIANNA HOPE BURGOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11012727) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11012727) |
Enumeration Date | 2021-07-06 |
Last Update Date | 2023-09-14 |