| NPI | 1588303010 |
|---|---|
| Former Name | BRITTAN AMANDA RIESBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 112989) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 2756) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2023-12-26 |