NPI | 1760753982 |
---|---|
Former Name | JENNIFER MARIE BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 87782) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704234458) |
Enumeration Date | 2012-01-19 |
Last Update Date | 2022-11-28 |