| NPI | 1548688765 |
|---|---|
| Former Name | BRITANNE JANELL SOCKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101263648) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD468585) |
| 207Q00000X Family Medicine (Licence: NJ 25MA10677) | |
| 207Q00000X Family Medicine (Licence: MD d0082899) | |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2023-11-13 |