NPI | 1174907893 |
---|---|
Former Name | BRITTANY NICOLE MINOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 19609) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 19609) |
Enumeration Date | 2015-07-13 |
Last Update Date | 2023-08-30 |