NPI | 1093168296 |
---|---|
Former Name | BRITTANY NOELLE MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 114849) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA10609) |
363A00000X Physician Assistant (Licence: FL PA9113279) | |
Enumeration Date | 2016-07-22 |
Last Update Date | 2021-06-21 |