| NPI | 1245487420 |
|---|---|
| Former Name | SUSAN L BRUNKHORST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MO 052720) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |