| NPI | 1720474513 |
|---|---|
| Former Name | BRITTANY ANNE TRENTADUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 68131) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WI 5890-851) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2020-11-04 |