| NPI | 1932455482 |
|---|---|
| Former Name | BRANDI HOLMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 17908) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: SC 17908) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: SC 17908) | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2021-04-29 |