| NPI | 1457495848 |
|---|---|
| Former Name | BRENDA LEE BARTLETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD MD0075639) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2021-10-18 |