| NPI | 1740506682 |
|---|---|
| Former Name | BRITTANIE INGRAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MS 24387) |
| Additional Taxonomies | 171000000X Military Health Care Provider |
| 207R00000X Internal Medicine (Licence: CA a121254) | |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2020-07-28 |