| NPI | 1831551688 |
|---|---|
| Former Name | SUSAN BROOKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.019309) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OH 309701) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3017301) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WV 109966) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-12-10 |