| NPI | 1841673548 |
|---|---|
| Former Name | BRANDY NICOLE HOOPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006634) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01638) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2019-06-12 |