| NPI | 1992083265 |
|---|---|
| Other Name | BRENDA K HERTLEIN EASTHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9441580) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2021-03-25 |