NPI | 1073217055 |
---|---|
Former Name | BRITTNEY M STUBBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC LL89926) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-03-27 |
Last Update Date | 2024-12-04 |