| NPI | 1932849668 |
|---|---|
| Former Name | COLLEEN LAUREN BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11860) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 11860-33) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2023-02-01 |