| NPI | 1659807253 |
|---|---|
| Former Name | BRYNN NICOLE MOYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.015901) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.015901) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2021-07-14 |