NPI | 1366858755 |
---|---|
Former Name | KOURTNEY MICHELLE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 234831) |
Enumeration Date | 2014-07-07 |
Last Update Date | 2015-03-19 |