NPI | 1770834764 |
---|---|
Former Name | TRASSE D. BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106836) |
Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL PA9106836) |
Enumeration Date | 2012-10-01 |
Last Update Date | 2023-05-05 |