| NPI | 1659057701 | 
|---|---|
| Former Name | BROOKE SAWYER ANGE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018310)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 5018310)  | 
| Enumeration Date | 2023-06-23 | 
| Last Update Date | 2024-06-11 |