NPI | 1245414341 |
---|---|
Former Name | TYLER A BRUNO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 813694) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: NV 813694) |
364SG0600X Clinical Nurse Specialist, Gerontology (Licence: NV 813694) | |
163W00000X Registered Nurse (Licence: CA 824694) | |
171100000X Acupuncturist (Licence: CA 12066) | |
Enumeration Date | 2007-12-26 |
Last Update Date | 2023-03-07 |