NPI | 1972964393 |
---|---|
Former Name | MARLA DEANA BRENDLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ 009688) |
Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: IL 036156135) |
207R00000X Internal Medicine (Licence: DC DO034798) | |
207R00000X Internal Medicine (Licence: MD H0086777) | |
Enumeration Date | 2016-03-12 |
Last Update Date | 2023-09-12 |