| NPI | 1114266541 |
|---|---|
| Former Name | BROOKE E. BONOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3007817) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007817) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 330723) | |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2023-08-01 |