| NPI | 1164962379 |
|---|---|
| Former Name | BROOKE HALEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0100899-C-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 119094) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2024-02-06 |