| NPI | 1528502283 |
|---|---|
| Former Name | EBONY BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRNCNP023346) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP016980) |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2024-05-28 |