NPI | 1285922260 |
---|---|
Former Name | SUSAN E. BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2019-02878) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S5904) |
207R00000X Internal Medicine (Licence: VA 0101249567) | |
Enumeration Date | 2011-07-12 |
Last Update Date | 2020-04-06 |