| NPI | 1194882290 |
|---|---|
| Former Name | TAISHA BOWEN BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9111718) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001000301) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2024-01-16 |