| NPI | 1841591864 |
|---|---|
| Former Name | BROOKE NICOLE BASSETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008732) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041390638) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71003442A) | |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2023-11-28 |