NPI | 1609222579 |
---|---|
Former Name | DEANNA BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014278) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 209.014278) |
Enumeration Date | 2016-05-10 |
Last Update Date | 2021-12-27 |