NPI | 1124748660 |
---|---|
Former Name | BRITTANY VIRTUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71013011A) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71013011A) |
Enumeration Date | 2022-09-02 |
Last Update Date | 2022-10-31 |