NPI | 1922401009 |
---|---|
Former Name | BRITTANY HENDRICKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC1024) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ND 1272) |
Enumeration Date | 2014-10-02 |
Last Update Date | 2023-11-07 |