| NPI | 1396454021 |
|---|---|
| Professional Name | BRENDA MUTEHART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 209026643) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 00000000000000000000) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-08-23 |