NPI | 1063854792 |
---|---|
Former Name | BRITTANY SOJ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013001) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA sp013001) |
Enumeration Date | 2013-07-23 |
Last Update Date | 2020-12-10 |