NPI | 1649591538 |
---|---|
Former Name | KAREN RENEE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: IN 01077491A) |
Additional Taxonomies | 208600000X Surgery (Licence: MD D79616) |
208600000X Surgery (Licence: IL 125057795) | |
Enumeration Date | 2010-06-15 |
Last Update Date | 2023-11-27 |