NPI | 1558882613 |
---|---|
Former Name | BRITTANY ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2019-02399) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL40880) |
Enumeration Date | 2017-06-29 |
Last Update Date | 2024-07-23 |