| NPI | 1194197947 |
|---|---|
| Former Name | TIFFANY BRUNO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP129332) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP129332) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2021-03-09 |