NPI | 1518297597 |
---|---|
Former Name | ELIZABETH J BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601006933) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 002384) |
363AM0700X Physician Assistant, Medical (Licence: CT 002384) | |
Enumeration Date | 2010-01-13 |
Last Update Date | 2021-02-19 |