NPI | 1689279739 |
---|---|
Former Name | ANNA CATHERINE BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 28436) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 28436) |
Enumeration Date | 2020-12-04 |
Last Update Date | 2023-09-05 |