| NPI | 1194248203 |
|---|---|
| Former Name | BARBARA B BROBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 5812) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 7896-33) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2021-12-08 |