NPI | 1710246681 |
---|---|
Former Name | BRANDI LYNN CARITHERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2012-05-11 |
Last Update Date | 2021-02-11 |