| NPI | 1750993945 |
|---|---|
| Former Name | BRITTANY M HENINGBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AL 1-151839) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-151839) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2022-04-13 |