NPI | 1154427037 |
---|---|
Former Name | SAUNDRA D. BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NE 1455) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 001617) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2022-03-31 |