NPI | 1659634400 |
---|---|
Other Name | BRITTNEY GRIMALDI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 2041) |
363A00000X Physician Assistant (Licence: IA 127743) | |
Enumeration Date | 2012-06-18 |
Last Update Date | 2024-09-23 |