NPI | 1174211783 |
---|---|
Former Name | BRITTANY NICOLE LITTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4001574) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 116085) |
Enumeration Date | 2023-05-01 |
Last Update Date | 2024-01-02 |