NPI | 1184656472 |
---|---|
Former Name | PATRICIA MARY BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME 46763) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 98315) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2007-07-08 |