NPI | 1275909525 |
---|---|
Former Name | KONEECHIA CHARMAINE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95002883) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 789677) |
Enumeration Date | 2015-08-20 |
Last Update Date | 2024-01-25 |