| NPI | 1891292686 |
|---|---|
| Former Name | RUTH BRANDENBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008171A) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28187338A) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2022-08-10 |