| NPI | 1164882544 |
|---|---|
| Former Name | EBONY N BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2016001982) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 77121) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2018-11-27 |