| NPI | 1114519428 |
|---|---|
| Former Name | BRITTANY KIERRA THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-11203) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC MPA.3831.PA) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2023-10-20 |