| NPI | 1639515786 |
|---|---|
| Former Name | BRANDY NICOLE LEGGETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TN 57437) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2018-08-17 |