| NPI | 1679880090 |
|---|---|
| Former Name | BRITTANY LAUREN CROSBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC PA1564) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-04654) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2017-05-03 |