| NPI | 1114414158 |
|---|---|
| Former Name | BRANDY M SAMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112539) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 81244) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2022-10-19 |