| NPI | 1487255063 |
|---|---|
| Former Name | BROOKE HOLTZEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 257399) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AZ RN189404) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ 257399) | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2023-11-30 |