NPI | 1154764348 |
---|---|
Former Name | BRANDI NICOLE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301113406) |
Enumeration Date | 2013-04-08 |
Last Update Date | 2022-07-21 |