NPI | 1235589748 |
---|---|
Former Name | BRITTNEY WOODWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-12507) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2016019178) |
Enumeration Date | 2016-06-15 |
Last Update Date | 2019-08-07 |