| NPI | 1669976742 |
|---|---|
| Former Name | BROOKE RENEE GARNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001924) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R042964) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 5930) | |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2021-01-22 |