| NPI | 1518209220 |
|---|---|
| Former Name | BRITTANY AMBER DICKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001232602) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170765) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-04-19 |