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 |