NPI | 1063053817 |
---|---|
Former Name | BRITTANY SHARDA WEATHERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 902619) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 902619) |
Enumeration Date | 2019-10-02 |
Last Update Date | 2019-10-02 |