NPI | 1801072368 |
---|---|
Former Name | JAMEY ANN BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101242337) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 255513) |
Enumeration Date | 2008-01-15 |
Last Update Date | 2016-05-02 |