| NPI | 1639594864 |
|---|---|
| Former Name | ANNA BRAZER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 76257) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2014001693) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2022-12-20 |