NPI | 1679925911 |
---|---|
Former Name | SHANNA BROWNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9326644) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9326644) |
Enumeration Date | 2016-07-11 |
Last Update Date | 2023-04-24 |