NPI | 1194184408 |
---|---|
Former Name | BROOKE B WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN161833) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN161833) |
363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN161833) | |
Enumeration Date | 2016-02-15 |
Last Update Date | 2020-05-14 |