| NPI | 1629373881 |
|---|---|
| Former Name | BRENDA JILL WOONER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IA A106433) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-106433) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2015-06-22 |