| NPI | 1104117381 |
|---|---|
| Former Name | MICHELLE ELIZABETH BRAMMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 9371369-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 9371369-1205) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2021-11-08 |