NPI | 1427372721 |
---|---|
Former Name | KHALILAH BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL ME118400) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME118400) |
2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: FL ME118400) | |
Enumeration Date | 2010-03-16 |
Last Update Date | 2024-09-19 |