| NPI | 1457641276 |
|---|---|
| Former Name | BRANDI KAY RAWLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS 871360) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: MS 871360) |
| 363L00000X Nurse Practitioner (Licence: MS R871360) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2020-07-23 |