NPI | 1184967317 |
---|---|
Former Name | BRITTANY LAUREN SAMBRANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX R3797) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-04-06 |
Last Update Date | 2019-02-04 |