| NPI | 1871884890 |
|---|---|
| Former Name | RENEE NICHOLE BRANDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1710I1003X Military Health Care Provider, Independent Duty Medical Technicians |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2012-10-04 |