NPI | 1235349846 |
---|---|
Former Name | BRANDI SHA WILKIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX Q4809) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC MD83502) |
390200000X Student in an Organized Health Care Education/Training Program | |
207V00000X Obstetrics & Gynecology (Licence: NC 2019-01695) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2022-03-09 |