NPI | 1588175624 |
---|---|
Former Name | KARLA BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP136113) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 616718) |
Enumeration Date | 2017-10-16 |
Last Update Date | 2023-08-11 |