NPI | 1427591270 |
---|---|
Former Name | BRANDY N WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 69636) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201702173NP-PP) |
Enumeration Date | 2016-11-28 |
Last Update Date | 2022-01-21 |