| NPI | 1831254879 |
|---|---|
| Former Name | BRENDA LEE NEDICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0004121-C-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A167085) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2023-08-18 |