| NPI | 1821236555 |
|---|---|
| Former Name | MISTIE RACHELLE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005928) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3005928) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2020-12-03 |