NPI | 1598532772 |
---|---|
Former Name | BRIANNE ENE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201908664RN) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2023-12-07 |
Last Update Date | 2024-02-23 |