| NPI | 1720604549 |
|---|---|
| Former Name | IDA PATRICE BRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 101Y00000X Counselor |
| 374700000X Technician | |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |