| NPI | 1356640692 |
|---|---|
| Former Name | BRANDI D. CONNORS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WV 1598) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50.002920) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA054844) | |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2018-06-29 |