| NPI | 1689449522 |
|---|---|
| Former Name | BROOKE LAEL TOMPKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 7704) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601012169) |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-21 |