NPI | 1386820090 |
---|---|
Former Name | JULIE A BRANDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 140762-30) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 1558483) |
Enumeration Date | 2008-01-11 |
Last Update Date | 2023-01-25 |