NPI | 1174926364 |
---|---|
Former Name | BROOKE ANN BARNES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13384) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 5873) |
Enumeration Date | 2014-10-01 |
Last Update Date | 2024-05-02 |