| NPI | 1629468111 |
|---|---|
| Former Name | JOHNLYN BROOME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7601) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN148513) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2024-12-11 |