| NPI | 1891204871 |
|---|---|
| Former Name | ANN BROOK THEODORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NE 112528) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NE 72934) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A127580) | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2020-11-29 |