NPI | 1932620416 |
---|---|
Former Name | JORDAN A BRITTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-08255) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WV 2812) |
Enumeration Date | 2017-07-05 |
Last Update Date | 2023-04-05 |