NPI | 1003899048 |
---|---|
Former Name | AMBER N BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 3280) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 3280) |
Enumeration Date | 2005-11-23 |
Last Update Date | 2023-10-19 |