NPI | 1477984193 |
---|---|
Former Name | BRITTANY MICHELLE MCGINNIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 52089) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA056653) |
Enumeration Date | 2013-12-05 |
Last Update Date | 2019-10-10 |