NPI | 1598894610 |
---|---|
Former Name | ALISON CORINNE BRAZEAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/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 |