| NPI | 1639303324 |
|---|---|
| Former Name | BRANDI LYNN COWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 046497) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 046497) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2010-02-16 |