| NPI | 1700525664 |
|---|---|
| Former Name | BROOKLYN LEE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX BP10078445) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX V9436) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2025-06-18 |