| NPI | 1104475870 |
|---|---|
| Former Name | KAYSIE BRUNO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P8560) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ID E38936) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-10-01 |