| NPI | 1760817175 |
|---|---|
| Former Name | BRIELLE MARIE LAVANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9297844) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9297844) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2023-04-25 |