NPI | 1649655317 |
---|---|
Former Name | ABIGAIL CHRISTINE BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1146506) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95001371) |
Enumeration Date | 2015-07-23 |
Last Update Date | 2025-03-14 |