NPI | 1154738839 |
---|---|
Former Name | BRITTANY HOPE EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WV 756) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 01814) |
Enumeration Date | 2014-07-15 |
Last Update Date | 2022-03-21 |