NPI | 1205299989 |
---|---|
Former Name | BRITTANY RAE TIELBUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TN 67304) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2020-00661) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC 2020-00661) | |
Enumeration Date | 2016-03-31 |
Last Update Date | 2023-08-16 |