| NPI | 1194713255 |
|---|---|
| Former Name | ELLA JEAN BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.132897) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01053859A) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 1021387) | |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2025-01-06 |