NPI | 1730503954 |
---|---|
Former Name | BRIANNA NOAKES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 5515) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5515-33) |
Enumeration Date | 2014-02-07 |
Last Update Date | 2022-06-07 |