NPI | 1003055492 |
---|---|
Former Name | BROOKE SLATER, MONTGOMERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10033180) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN128078) |
163W00000X Registered Nurse (Licence: WA RN00157565) | |
163W00000X Registered Nurse (Licence: OR 10033180) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60074110) | |
Enumeration Date | 2009-02-09 |
Last Update Date | 2024-12-02 |