| NPI | 1144604158 |
|---|---|
| Former Name | BRITTANY MARIE AZURE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ND PT15339) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND RL13781) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2024-05-06 |