| NPI | 1336459262 |
|---|---|
| Former Name | BRANDY MICHELLE CLOUSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9105699) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9105699) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2024-07-17 |