NPI | 1710233184 |
---|---|
Former Name | BRANDI KADZIOLKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-087541) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: AL 1-087541) |
Enumeration Date | 2012-08-03 |
Last Update Date | 2023-02-02 |