| 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 |