NPI | 1467549139 |
---|---|
Former Name | BEVERLY A BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1070385) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1070385) |
363LF0000X Nurse Practitioner, Family (Licence: AL 1-083783) | |
Enumeration Date | 2006-10-06 |
Last Update Date | 2025-06-12 |