NPI | 1023332020 |
---|---|
Other Name | BROOKE LILLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02181) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-02181) |
Enumeration Date | 2010-03-18 |
Last Update Date | 2021-05-10 |