NPI | 1629639869 |
---|---|
Former Name | BRITTANY LYNN LOSSOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344591) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 344591) |
Enumeration Date | 2019-06-27 |
Last Update Date | 2022-04-19 |