NPI | 1962002238 |
---|---|
Former Name | BRITTANY FREES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71010616A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 28227334A) |
Enumeration Date | 2020-10-27 |
Last Update Date | 2024-10-16 |