| NPI | 1578871935 |
|---|---|
| Former Name | BRITTANY L GREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OH 50.004924RX) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY PA1883) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2021-04-06 |