| NPI | 1457016289 |
|---|---|
| Former Name | CALLIE BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704311272) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704311272) |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2022-10-25 |