NPI | 1649419243 |
---|---|
Former Name | BRITTANY SLAVIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 0715) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 0715) |
Enumeration Date | 2009-02-05 |
Last Update Date | 2021-04-15 |