NPI | 1043766140 |
---|---|
Former Name | EMILY ANN BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA0004752) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 0004752) |
Enumeration Date | 2016-08-29 |
Last Update Date | 2018-12-10 |