NPI | 1134901515 |
---|---|
Former Name | BRITTNEY ARYN AMBROSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014721A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71014721A) |
363LF0000X Nurse Practitioner, Family (Licence: IN 28199602A) | |
Enumeration Date | 2023-10-19 |
Last Update Date | 2024-09-27 |