NPI | 1144476193 |
---|---|
Former Name | BRITTAINE MECHELLE HINKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SC 1356) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC 1356) |
Enumeration Date | 2008-08-11 |
Last Update Date | 2019-10-17 |