NPI | 1982197877 |
---|---|
Former Name | AMBER BRIONNA MANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1069130) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 272603) |
Enumeration Date | 2018-06-14 |
Last Update Date | 2023-01-27 |