| NPI | 1023154846 |
|---|---|
| Former Name | BROOKE ANN BOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200550104NP) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |