NPI | 1427515147 |
---|---|
Former Name | MICHELLE ELIZABETH BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.1432) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AL PA.1432) |
Enumeration Date | 2019-02-28 |
Last Update Date | 2022-09-22 |