| NPI | 1386228336 |
|---|---|
| Former Name | TIFFANY LYNN BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 80191) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-80191-062) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2024-01-04 |