| NPI | 1851095186 |
|---|---|
| Former Name | BRIANNA NICOLE MCCOWAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2023008812) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS 53-82091-052) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2024-01-25 |