| NPI | 1700370467 |
|---|---|
| Former Name | BRIANNA LEIGH SHIPE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0077247) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 77472) |
| Enumeration Date | 2018-06-17 |
| Last Update Date | 2024-03-08 |