| NPI | 1528575602 |
|---|---|
| Former Name | REBECCA JOE BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A005454) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95010849) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2024-10-31 |