| 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 |