NPI | 1841714300 |
---|---|
Former Name | BRANDI LYNNETTE VILLARREAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NM CNP-03427) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP134377) |
Enumeration Date | 2017-07-26 |
Last Update Date | 2024-05-08 |