| NPI | 1912607508 |
|---|---|
| Former Name | BAILEY BROOKE WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82110-042) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS F02230732) |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2024-07-10 |