| NPI | 1982655536 |
|---|---|
| Other Name | BRENDA R VANDERPOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner Neonatal (Licence: MI 4704146251) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner Neonatal (Licence: MN 161098-1) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-02-05 |