NPI | 1366721060 |
---|---|
Other Name | BRANDIE DENISE WOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003661A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28151165) |
Enumeration Date | 2011-08-11 |
Last Update Date | 2021-03-31 |