| NPI | 1891115275 |
|---|---|
| Former Name | BRANDI DEBOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX Q8405) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2018-05-04 |