NPI | 1275862997 |
---|---|
Professional Name | JENNIFER ANNE BROOKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AL 5730 C1) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: GA DN014016) |
1223P0221X Dentist, Pediatric Dentistry (Licence: CA 101600) | |
Enumeration Date | 2009-12-08 |
Last Update Date | 2017-09-07 |