| NPI | 1457735896 |
|---|---|
| Former Name | KATRINA RENAE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110-004999) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110004999) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2017-09-18 |