| NPI | 1245894427 |
|---|---|
| Former Name | AUSTIN BROOKE TODEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 00000) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-10-01 |