NPI | 1154863272 |
---|---|
Former Name | BRANDY HAMMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: KY PA2181) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY TC553) |
Enumeration Date | 2016-11-07 |
Last Update Date | 2023-07-10 |