NPI | 1881057370 |
---|---|
Former Name | BROOKE SYDNEY RICHARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH NP19049) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH RN.363499) |
Enumeration Date | 2016-04-01 |
Last Update Date | 2022-06-13 |