NPI | 1275946030 |
---|---|
Former Name | CASEY BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 007888) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS019222) |
Enumeration Date | 2014-06-09 |
Last Update Date | 2020-05-15 |