| NPI | 1417334616 |
|---|---|
| Former Name | BRITTNEY WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601010754) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.005974RX) |
| 363A00000X Physician Assistant (Licence: MA PA5306) | |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2024-04-03 |