| NPI | 1679902662 |
|---|---|
| Former Name | COLLEEN E BRASH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71004741A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28179375A) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71004741A) | |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2015-12-04 |