NPI | 1144730201 |
---|---|
Former Name | BRANDY J WHEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 2017018048) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 2017018048) |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX 2017018048) | |
Enumeration Date | 2017-10-03 |
Last Update Date | 2022-07-21 |