NPI | 1588447452 |
---|---|
Former Name | BROOKE RAE GUIDICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95026626) |
Enumeration Date | 2023-08-15 |
Last Update Date | 2023-08-15 |