NPI | 1831341361 |
---|---|
Former Name | STEPHANIE CLAIR BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY f381977-1) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0024186086) |
Enumeration Date | 2008-10-15 |
Last Update Date | 2024-06-15 |