| NPI | 1508614892 |
|---|---|
| Former Name | BROOKLYN PAIGE GOTTFRIED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036394) |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-07-26 |