| NPI | 1497300099 |
|---|---|
| Former Name | BLAIRE BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3489) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2024-12-23 |