NPI | 1861958365 |
---|---|
Former Name | BRITTANY NICOLE WATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: SC 22537) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC 22537) |
Enumeration Date | 2019-02-20 |
Last Update Date | 2022-11-01 |