NPI | 1942595731 |
---|---|
Former Name | ELIZABETH L BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 116246) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX BP10038561) |
Enumeration Date | 2011-06-09 |
Last Update Date | 2022-10-13 |