NPI | 1437627221 |
---|---|
Former Name | BROOKE ANN GRAWET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014631) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP139698) |
Enumeration Date | 2018-11-09 |
Last Update Date | 2022-06-02 |