| NPI | 1033766985 |
|---|---|
| Former Name | BRITANY MICHELLE DURETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: RI PTA01165) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |