NPI | 1790064442 |
---|---|
Former Name | CARLA ELINOR BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2267974) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA RN2267974) |
Enumeration Date | 2011-08-12 |
Last Update Date | 2011-08-12 |