NPI | 1043740558 |
---|---|
Former Name | BRITTANY CRYE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 3995) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116030751) |
Enumeration Date | 2017-06-16 |
Last Update Date | 2024-12-16 |