NPI | 1962096610 |
---|---|
Former Name | BRITNEY BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AZ 254604) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AZ 254604) |
Enumeration Date | 2021-02-23 |
Last Update Date | 2024-01-03 |