NPI | 1134670748 |
---|---|
Former Name | BRITTANY OGILVIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 25NJ00677700) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NJ 26NJ00677700) |
Enumeration Date | 2016-10-18 |
Last Update Date | 2017-08-15 |