| NPI | 1346756301 |
|---|---|
| Former Name | BRITTANY BAGLOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA17504) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CA 55266) |
| 207X00000X Orthopaedic Surgery (Licence: MA PA6284) | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2024-10-08 |