| NPI | 1588017792 |
|---|---|
| Former Name | BRANDI M DENSMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3010522) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006587A) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3010522) | |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2023-05-15 |