NPI | 1336193689 |
---|---|
Former Name | WARSEAL BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R182162) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1092007) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC003086) | |
Enumeration Date | 2006-05-20 |
Last Update Date | 2023-08-15 |