NPI | 1679895577 |
---|---|
Former Name | BRANDIE BETH GARRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171100000X Acupuncturist (Licence: MD U01993) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 304127-031) |
171100000X Acupuncturist (Licence: WI 704-055) | |
Enumeration Date | 2010-02-18 |
Last Update Date | 2023-10-17 |