NPI | 1386270320 |
---|---|
Former Name | BROOKE E KANEHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 211622) |
Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: NH 073284-21) |
Enumeration Date | 2020-03-22 |
Last Update Date | 2024-11-13 |