NPI | 1063454403 |
---|---|
Former Name | DIANE MARIE BROWNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DC PA031318) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0003237) |
363A00000X Physician Assistant (Licence: GA 9817) | |
363A00000X Physician Assistant (Licence: NC 0010-10978) | |
Enumeration Date | 2006-06-11 |
Last Update Date | 2023-02-28 |