NPI | 1013319854 |
---|---|
Former Name | LAURA R BRITTAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60507205) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60507205) |
Enumeration Date | 2014-09-24 |
Last Update Date | 2020-07-23 |