NPI | 1174893010 |
---|---|
Former Name | BRITTANY CRANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: RI PA00871) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA 4320) |
Enumeration Date | 2012-01-10 |
Last Update Date | 2022-03-24 |