NPI | 1750640454 |
---|---|
Former Name | ANGELA BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP43333) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP 4333) |
Enumeration Date | 2012-05-15 |
Last Update Date | 2023-05-16 |