NPI | 1700252632 |
---|---|
Former Name | BRITTANY NOEL NESHEM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 9282) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ND PAC0607) |
Enumeration Date | 2015-08-14 |
Last Update Date | 2022-10-24 |