| NPI | 1598894610 |
|---|---|
| Former Name | ALISON CORINNE BRAZEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 3312652) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP3312652) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2021-12-01 |