NPI | 1649697376 |
---|---|
Former Name | KATE E BRANDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2014025535) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041380857) |
Enumeration Date | 2014-03-19 |
Last Update Date | 2024-07-15 |