| NPI | 1689021842 |
|---|---|
| Former Name | CHRISTEN DENISE BRUMMETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 7208) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MB10477200) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2021-11-05 |