NPI | 1255823928 |
---|---|
Former Name | BRITTANY J MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008043A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28195063A) |
Enumeration Date | 2018-05-30 |
Last Update Date | 2024-12-23 |