NPI | 1649412636 |
---|---|
Former Name | BROOKE NICHOLE-NAFFZIGER HARMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 51928) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 57566) |
207V00000X Obstetrics & Gynecology (Licence: MI 5101018166) | |
Enumeration Date | 2009-04-06 |
Last Update Date | 2023-01-17 |