NPI | 1437300324 |
---|---|
Former Name | JONI R BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA06342) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK pending) |
Enumeration Date | 2008-10-09 |
Last Update Date | 2022-04-08 |