| NPI | 1083867089 |
|---|---|
| Former Name | BRANDY JO RENZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71002848A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002848A) |
| 163W00000X Registered Nurse (Licence: IN 28157189A) | |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2020-10-28 |