| NPI | 1255861688 |
|---|---|
| Former Name | BROOK NICOLE MUNGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: IN 01093687A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2024-07-10 |