| NPI | 1487101572 |
|---|---|
| Former Name | BRITTANI BERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical |
| Additional Taxonomies | 208600000X Surgery (Licence: TX 179170) |
| 246ZC0007X Specialist/Technologist, Other Surgical Assistant | |
| 246ZS0410X Specialist/Technologist, Other Surgical Technologist (Licence: OK 131069) | |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2020-03-04 |