NPI | 1922634070 |
---|---|
Former Name | TANYA BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 240789) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 906315) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP143113) | |
163W00000X Registered Nurse (Licence: AZ 240789) | |
Enumeration Date | 2020-03-20 |
Last Update Date | 2023-07-31 |