NPI | 1497787949 |
---|---|
Former Name | SUSAN ELIZABETH BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 004483) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: GA 004483) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2017-02-21 |