NPI | 1720750581 |
---|---|
Former Name | JENNIFER BRAMON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11018617) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-80574-082) |
Enumeration Date | 2021-09-30 |
Last Update Date | 2023-01-11 |