NPI | 1659986339 |
---|---|
Former Name | JOYCE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9113544) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-09-10 |
Last Update Date | 2025-04-18 |