| NPI | 1912977059 |
|---|---|
| Former Name | BROOKE WORLEY NORRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 103523) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 103523) |
| 363AS0400X Physician Assistant, Surgical (Licence: NC 103523) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2021-02-19 |