NPI | 1811323520 |
---|---|
Former Name | BRENDA LYNN HUGEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 143698) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN143698) |
Enumeration Date | 2013-09-25 |
Last Update Date | 2023-10-15 |