NPI | 1093479396 |
---|---|
Former Name | BROOKE HOCHSTETLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H166526) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H166526) |
363LA2100X Nurse Practitioner, Acute Care (Licence: NE 113842) | |
Enumeration Date | 2021-10-24 |
Last Update Date | 2024-09-30 |