| NPI | 1518196781 |
|---|---|
| Professional Name | BRANDON L MANETTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71003031) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28165121A) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2020-07-23 |