NPI | 1871578690 |
---|---|
Former Name | KATHERINE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA003370L) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0000865) |
363A00000X Physician Assistant (Licence: PA MA003370L) | |
Enumeration Date | 2005-12-14 |
Last Update Date | 2016-07-07 |