NPI | 1629447164 |
---|---|
Former Name | ELIZABETH BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 0000022712) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1136804) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2022-03-15 |