NPI | 1407360084 |
---|---|
Former Name | BRANDI LYNN KOPEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN219759) |
Enumeration Date | 2017-11-19 |
Last Update Date | 2020-06-26 |