NPI | 1750391116 |
---|---|
Former Name | ANGIE JEAN BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD0000039560) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200600714) |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TN MD0000039560) | |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NC 200600714) | |
Enumeration Date | 2006-08-09 |
Last Update Date | 2011-05-11 |