NPI | 1336587138 |
---|---|
Former Name | BRITTANY AMBER FLOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 305806) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101020645) |
Enumeration Date | 2013-06-13 |
Last Update Date | 2019-06-28 |