| NPI | 1215921838 |
|---|---|
| Former Name | BROOKE ELIZABETH HALE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT 545) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AZ 3094) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2011-12-19 |