| NPI | 1417049404 |
|---|---|
| Former Name | REGINA MARY BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006374) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001168260) |
| 363L00000X Nurse Practitioner (Licence: VA 0017138054) | |
| 363L00000X Nurse Practitioner (Licence: IN 71013431A) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2024-07-01 |