| NPI | 1528430907 |
|---|---|
| Former Name | JOHNNIE SUE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009868) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 40962) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2016-07-20 |