| NPI | 1750059267 |
|---|---|
| Former Name | BRITTANY NIELSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WA A161091059) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |