NPI | 1194973123 |
---|---|
Former Name | LORI CHRISTINE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60620568) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0051384) |
Enumeration Date | 2008-09-03 |
Last Update Date | 2021-10-05 |