NPI | 1427233717 |
---|---|
Former Name | KAM BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA07489) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OK 1422) |
Enumeration Date | 2008-01-04 |
Last Update Date | 2012-02-13 |