NPI | 1285417675 |
---|---|
Former Name | JENNIFER L BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71014178A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28225538A) |
Enumeration Date | 2023-08-17 |
Last Update Date | 2023-09-06 |