NPI | 1306308416 |
---|---|
Former Name | SHELBY LYNN BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: IL 125.074982) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-04-05 |
Last Update Date | 2019-06-14 |