NPI | 1417403114 |
---|---|
Former Name | BRITTANY ANNE ISEMINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0009524) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MD A00548) |
2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WV AT001377) | |
Enumeration Date | 2016-09-01 |
Last Update Date | 2024-08-03 |