NPI | 1114271004 |
---|---|
Former Name | BRANDY SYLVAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MI 4704291934) |
Enumeration Date | 2012-10-31 |
Last Update Date | 2012-10-31 |