NPI | 1164814281 |
---|---|
Professional Name | M. EDIE BRUCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61520060) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61520060) |
363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP61520060) | |
Enumeration Date | 2015-02-26 |
Last Update Date | 2024-05-21 |