| NPI | 1952782641 |
|---|---|
| Former Name | BRITTANY ELYCE LANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ME DO3238) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ME DO3238) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD H0087108) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2021-08-26 |