NPI | 1346523859 |
---|---|
Former Name | BRITTANY JANELLE BACH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP127015) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024169592) |
Enumeration Date | 2011-09-21 |
Last Update Date | 2023-03-21 |