NPI | 1033440086 |
---|---|
Former Name | LAGENIA K BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006336) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 6336P) |
Enumeration Date | 2010-01-14 |
Last Update Date | 2024-11-15 |