NPI | 1346269685 |
---|---|
Former Name | LAURIE ANN DESHON BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2971) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA01446) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2024-11-01 |