NPI | 1396017364 |
---|---|
Former Name | BRANDY FERRARA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1710I1003X Military Health Care Provider, Independent Duty Medical Technicians |
Enumeration Date | 2012-02-06 |
Last Update Date | 2021-10-01 |