Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | A114914 | CA |
N | 2086S0120X | Pediatric Surgery | MT210930 | PA |
NPI | 1396916524 |
---|---|
Provider Name | Erin Brown |
First Address | Sacramento, CA 95817-1418 |
Second Address | Sacramento, CA 95817-2215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2008 |
Last Update Date | 20/09/2018 |