NPI | 1851681548 |
---|---|
Former Name | JENNIFER JO HOWARD BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-074009 (pending)) |
Enumeration Date | 2011-04-14 |
Last Update Date | 2015-03-24 |