| NPI | 1629311204 |
|---|---|
| Former Name | BRENDA MINNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN3316472) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN3316472) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2023-02-14 |