NPI | 1265496392 |
---|---|
Former Name | JOLENE A BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD430400) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD d58959) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 64857) | |
Enumeration Date | 2006-04-14 |
Last Update Date | 2022-07-21 |