NPI | 1780050575 |
---|---|
Former Name | BRITTANY AULETTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110-005047) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: UT 14199265-1206) |
363AM0700X Physician Assistant, Medical (Licence: FL TPPA871) | |
Enumeration Date | 2015-08-15 |
Last Update Date | 2025-02-18 |