| NPI | 1508330176 |
|---|---|
| Former Name | BRANDI NICOLE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN11000950) |
| Additional Taxonomies | 176B00000X Midwife |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2020-08-28 |