| NPI | 1023472792 |
|---|---|
| Former Name | BROOKE TRETTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL 19272) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS020115) |
| 208000000X Pediatrics (Licence: AR 1023472792) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2022-09-08 |