NPI | 1396070553 |
---|---|
Former Name | BRITTANY C. BRADEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60118197) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60118197) |
Enumeration Date | 2009-10-06 |
Last Update Date | 2018-11-06 |