NPI | 1528650504 |
---|---|
Former Name | BRITTNEY MARIE MASON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184239) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95015251) |
Enumeration Date | 2021-02-10 |
Last Update Date | 2022-10-14 |