| NPI | 1316248115 |
|---|---|
| Former Name | ANTRINA DENISE BRANTLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA 288454) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 19994) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2019-07-22 |