NPI | 1619232741 |
---|---|
Former Name | BRITTNEY DIANE BORY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 383585-1) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-07-04 |
Last Update Date | 2018-02-20 |