NPI | 1356779581 |
---|---|
Former Name | MARLENE ANN BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1339752) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 1339752) |
Enumeration Date | 2013-10-25 |
Last Update Date | 2022-07-03 |