| NPI | 1083715999 |
|---|---|
| Former Name | JEANNINE S BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR md22433) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA md00040952) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |