NPI | 1871173963 |
---|---|
Former Name | BRITTANY ANNETTE LUBICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 74064) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-04-12 |
Last Update Date | 2024-02-28 |