| NPI | 1194969733 |
|---|---|
| Former Name | BRITTANY JAMILLE JACKSON-BIVINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 71426) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2020-12-01 |