NPI | 1447552260 |
---|---|
Former Name | JULIE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2011023150) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2011023150) |
Enumeration Date | 2010-11-30 |
Last Update Date | 2018-01-24 |