| NPI | 1780392977 |
|---|---|
| Former Name | BRANDY C MCKINNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 12138) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 12138) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2025-04-01 |