NPI | 1497446983 |
---|---|
Former Name | BRITTANY JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 51810) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WY 51810) |
Enumeration Date | 2023-05-16 |
Last Update Date | 2024-01-19 |