NPI | 1053962472 |
---|---|
Former Name | BRITTANY NUTICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK M0134428) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP142371) |
Enumeration Date | 2019-09-26 |
Last Update Date | 2023-10-19 |