NPI | 1447490099 |
---|---|
Former Name | BRANDI L PICKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP124928) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 100099) |
Enumeration Date | 2009-02-23 |
Last Update Date | 2019-02-06 |