| NPI | 1396578951 |
|---|---|
| Professional Name | BROOKE SHANNON PRONDZINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IA 126971) |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-26 |