NPI | 1932553153 |
---|---|
Former Name | BRITTANY LAUREN SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-11184) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-04-14 |
Last Update Date | 2022-08-11 |