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 |