| NPI | 1063454403 |
|---|---|
| Former Name | DIANE MARIE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0003237) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA031318) |
| 363A00000X Physician Assistant (Licence: GA 9817) | |
| 363A00000X Physician Assistant (Licence: NC 0010-10978) | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2025-03-12 |