| NPI | 1760813190 |
|---|---|
| Former Name | BRANDY NICOLE PAINTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 18614) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 18614) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2015-12-31 |