NPI | 1780022517 |
---|---|
Former Name | BRIANNA SHANNON JANCSY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2281354) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2281354) |
Enumeration Date | 2013-06-14 |
Last Update Date | 2020-10-29 |