| NPI | 1730527227 |
|---|---|
| Former Name | BRITTANY NICOLE TEAGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 275462) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2021-08-28 |