| NPI | 1689223356 |
|---|---|
| Former Name | BROOKE INEZ ELLINGSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 408) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WI 9511-33) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |