NPI | 1750729497 |
---|---|
Former Name | JENNIFER E BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012785A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008079) |
Enumeration Date | 2013-06-04 |
Last Update Date | 2022-08-30 |