NPI | 1306562574 |
---|---|
Former Name | OLIVIA CATHERINE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3018677) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: KY 1153867) |
Enumeration Date | 2022-10-18 |
Last Update Date | 2024-10-02 |