NPI | 1972045342 |
---|---|
Former Name | BRIANA THERESA NAGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP016841) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP016841) |
Enumeration Date | 2016-11-16 |
Last Update Date | 2024-07-25 |