| NPI | 1578532040 |
|---|---|
| Former Name | BRANDY KAY DICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC APN2163) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: SC APN2163) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: SC APN2163) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2015-08-21 |