| NPI | 1578164760 |
|---|---|
| Former Name | BRANDI HENSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014404) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 27196) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |