| NPI | 1174916480 |
|---|---|
| Former Name | BROOKE A POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9233489) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9233489) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2024-05-21 |