| NPI | 1942660386 |
|---|---|
| Former Name | BRISYN HUPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014006) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013162) |
| Enumeration Date | 2016-02-27 |
| Last Update Date | 2020-10-27 |