NPI | 1184292880 |
---|---|
Former Name | BRENDI LYNN POE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 216192) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 216192) |
Enumeration Date | 2021-06-17 |
Last Update Date | 2023-07-03 |