NPI | 1467616565 |
---|---|
Former Name | AMANDA LEE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26415) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R867316) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2023-03-14 |