| NPI | 1942506589 |
|---|---|
| Former Name | BRITTANY FAYE MARCELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME140228) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-01-30 |
| Last Update Date | 2019-09-24 |