NPI | 1497346217 |
---|---|
Former Name | BRANDI SELF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016587) |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: CA 95016587) |
Enumeration Date | 2021-02-03 |
Last Update Date | 2021-02-17 |