| NPI | 1013634401 |
|---|---|
| Former Name | BROOKE MAINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3018008) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 451696) |
| 363L00000X Nurse Practitioner (Licence: IN 71014690A) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 0032334) | |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2024-04-04 |