NPI | 1992027965 |
---|---|
Former Name | BRITTANY MCCARTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA20818) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA20818) |
Enumeration Date | 2010-02-18 |
Last Update Date | 2019-11-07 |