| NPI | 1245733450 |
|---|---|
| Other Name | SUZANNE MARIE BRUNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95016129) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 685563) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2024-05-16 |