| NPI | 1710304159 |
|---|---|
| Former Name | BRITTANY KAITLIN WISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 288974) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 288974) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2023-08-03 |