NPI | 1770889701 |
---|---|
Former Name | BRANDI NICOLE OUDE ALINK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 45212) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 142855) |
Enumeration Date | 2011-02-09 |
Last Update Date | 2023-03-08 |