| NPI | 1710636204 |
|---|---|
| Former Name | BRIANNA ELYSE CAVANAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA RN2325327) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2325327) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2325327) | |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2024-08-14 |