NPI | 1790483584 |
---|---|
Former Name | AMELIALOUISE PEARL BREEZEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC MACD-4E4T1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 101961) |
163W00000X Registered Nurse (Licence: NC 340677) | |
Enumeration Date | 2023-02-21 |
Last Update Date | 2023-02-28 |