NPI | 1497388797 |
---|---|
Former Name | BROOKE CARSTENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202003090NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61057277) |
163WM0705X Registered Nurse, Medical-Surgical (Licence: OR 201141939RN) | |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61057326) | |
Enumeration Date | 2020-02-15 |
Last Update Date | 2020-05-02 |