| NPI | 1033576046 |
|---|---|
| Former Name | BROOKE KERN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP 4378) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN CNP 4378) |
| 163W00000X Registered Nurse (Licence: MN R 199769-1) | |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2022-04-18 |