NPI | 1720337264 |
---|---|
Former Name | KATHRENE CARTER BRENDELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 17982) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5014214) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 25149) | |
Enumeration Date | 2012-08-30 |
Last Update Date | 2025-03-26 |