| NPI | 1811475809 |
|---|---|
| Former Name | MINDY DAWN BRAINARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP144899) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TX 756883) |
| 163WH1000X Registered Nurse, Hospice (Licence: TX 756883) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP144899) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP144899) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2020-02-03 |