NPI | 1144825266 |
---|---|
Former Name | BROOKE BISHIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 1126183) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9542397) |
Enumeration Date | 2020-12-04 |
Last Update Date | 2025-03-31 |