| NPI | 1134523269 |
|---|---|
| Former Name | CASSIE J BROOME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C156954) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA C112229) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C112229) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IA C112229) | |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2019-12-03 |