NPI | 1427147057 |
---|---|
Former Name | AMANDA SUE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R147528) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC RN965237) |
363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024164209) | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2015-12-22 |