| NPI | 1023152030 |
|---|---|
| Former Name | BRANDI CHARMAINE DENNISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-APN.0100784-C-NP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00093600) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP121065) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP008101) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2023-11-14 |