NPI | 1952661340 |
---|---|
Former Name | BROOKE MARIE NEUMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2012-05-21 |
Last Update Date | 2020-03-09 |