NPI | 1598127797 |
---|---|
Former Name | PAGE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2019-0489) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016022825) |
208000000X Pediatrics (Licence: KS 94-09130) | |
Enumeration Date | 2016-03-25 |
Last Update Date | 2019-08-26 |