| NPI | 1023418506 |
|---|---|
| Former Name | DIANE BRUEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2673) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R116351-9) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 2673) | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2020-10-05 |