NPI | 1255913935 |
---|---|
Former Name | BRITTANY ELIZABETH TEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: MN 72091) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC BRYA-I4V83W) |
Enumeration Date | 2021-04-22 |
Last Update Date | 2022-07-15 |