NPI | 1871264515 |
---|---|
Former Name | BROOKLYN HOSCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-178231) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-178231) |
Enumeration Date | 2021-09-22 |
Last Update Date | 2025-05-12 |