| NPI | 1912591264 |
|---|---|
| Former Name | BRYANNA NOEMI BEYERLEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11008360) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9443244) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-02-26 |