NPI | 1649634775 |
---|---|
Former Name | REGINA KATHERINE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: NC MD.2021-01122) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.36629) |
208000000X Pediatrics (Licence: AL MD.36629) | |
2080H0002X (Licence: NC MD.2021-01122) | |
Enumeration Date | 2016-04-05 |
Last Update Date | 2024-03-05 |