NPI | 1790148203 |
---|---|
Other Name | BRANDY MIZE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 92725) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 312403) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 312403) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 312403) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-01 |
Last Update Date | 2022-09-20 |