NPI | 1346842960 |
---|---|
Former Name | BROOKE NICOLE HOLLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ01049600) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0010385) |
Enumeration Date | 2020-11-09 |
Last Update Date | 2020-11-09 |