NPI | 1134404882 |
---|---|
Former Name | BRITTNEY LYNNE BRELEFSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 015243) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 015243) |
Enumeration Date | 2011-10-13 |
Last Update Date | 2016-11-22 |