| NPI | 1447646211 |
|---|---|
| Former Name | BROOKE NICOLE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101264330) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01082670A) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2019-08-02 |