| NPI | 1871668293 |
|---|---|
| Former Name | CHARISE LEANNE BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CA A86275) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MA 242320) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2016-05-19 |