| NPI | 1487931614 |
|---|---|
| Former Name | BRENDA LEE HOSHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA Q067510) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: IA S-067510) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2020-04-28 |