NPI | 1689831042 |
---|---|
Other Name | ALLIE MARIE BRILEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 2008004346) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: MN R-164198-9) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2008-08-19 |