NPI | 1245605328 |
---|---|
Former Name | ERICA NICOLE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 832723) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP124030) |
Enumeration Date | 2015-12-01 |
Last Update Date | 2019-10-25 |