NPI | 1184321838 |
---|---|
Former Name | BRANDY NICOLE SUTTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 29657) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-02-13 |
Last Update Date | 2025-02-20 |