NPI | 1205474921 |
---|---|
Former Name | BROOKE ANNETTE WOLFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009664A) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71009664A) |
Enumeration Date | 2019-12-12 |
Last Update Date | 2024-02-15 |