| NPI | 1992485312 |
|---|---|
| Former Name | TABATHA BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1071603) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 1071603) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |