NPI | 1881345429 |
---|---|
Former Name | BRANDEE JAMES DEERING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11638-33) |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: WI 11638-33) |
Enumeration Date | 2022-01-14 |
Last Update Date | 2022-09-09 |