NPI | 1720404320 |
---|---|
Former Name | MALINDA NICOLE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421172) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 671895) |
Enumeration Date | 2014-03-07 |
Last Update Date | 2018-01-24 |