| NPI | 1205692803 |
|---|---|
| Former Name | BROOKLYN K HUBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4016212) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71015492A) |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-09-24 |