NPI | 1689190670 |
---|---|
Former Name | BRITTANY ANNE GEORGETTE BROCUGLIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 7186) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 111601) |
363L00000X Nurse Practitioner (Licence: CT 007186) | |
Enumeration Date | 2017-08-21 |
Last Update Date | 2024-09-23 |