NPI | 1124292800 |
---|---|
Former Name | BRANDI NICHOLE JOUETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 065446) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 65446) |
Enumeration Date | 2008-04-15 |
Last Update Date | 2023-01-05 |