| NPI | 1265000624 |
|---|---|
| Former Name | BRITTANY PEDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 81917-21) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-12216) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2025-10-28 |