NPI | 1144551300 |
---|---|
Former Name | BRITTANY K LANOHA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1491) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002061) |
Enumeration Date | 2010-01-27 |
Last Update Date | 2023-12-15 |