NPI | 1164899936 |
---|---|
Former Name | BRITTANY ANNE GERALI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0005718) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2015-08-28 |
Last Update Date | 2019-07-30 |