NPI | 1346599958 |
---|---|
Former Name | BROOKE K ROWLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA1586) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.004394) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2017-04-25 |