NPI | 1336382902 |
---|---|
Former Name | ASHLEEQ KRISTEN BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: OH 35.120701) |
Enumeration Date | 2009-04-13 |
Last Update Date | 2017-10-28 |