NPI | 1245685643 |
---|---|
Former Name | BRITTANY PATRICIA FILLMORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704276111) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704276111) |
Enumeration Date | 2016-05-04 |
Last Update Date | 2022-07-25 |