NPI | 1275167686 |
---|---|
Former Name | ANGELLE AUSET BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP30778) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019834) |
363LF0000X Nurse Practitioner, Family (Licence: MN 12391) | |
363LF0000X Nurse Practitioner, Family (Licence: LA 209254) | |
363LF0000X Nurse Practitioner, Family (Licence: TX 1104384) | |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ15426200) | |
363L00000X Nurse Practitioner (Licence: TN 36211) | |
Enumeration Date | 2020-02-24 |
Last Update Date | 2025-09-30 |