NPI | 1790399772 |
---|---|
Former Name | EVA JOY BRANDES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 8320) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1741973) |
Enumeration Date | 2020-09-07 |
Last Update Date | 2022-09-14 |