| NPI | 1497947550 |
|---|---|
| Former Name | JENNIFER ASHLEY BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: AR E-6447) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2012-08-15 |