NPI | 1417266792 |
---|---|
Former Name | SHAWN BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 1526) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 644410) |
Enumeration Date | 2010-10-04 |
Last Update Date | 2015-12-28 |