| NPI | 1982032926 |
|---|---|
| Former Name | BREAH GOULD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 76147) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MO 2013038983) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2019-08-15 |