| NPI | 1790420131 |
|---|---|
| Former Name | MACKENZIE LOYCE BRISCOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: OK 209153) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0130175) |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2022-07-13 |