| NPI | 1619230588 |
|---|---|
| Former Name | BRANDI NICOLE FREELON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NE 27989) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 27989) |
| 207Q00000X Family Medicine (Licence: NE 6691) | |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2023-03-01 |