NPI | 1326492737 |
---|---|
Former Name | ADRIENNE NICOLE BRUCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: TX V8395) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
2086X0206X Surgery, Surgical Oncology (Licence: TX V8395) | |
Enumeration Date | 2016-04-21 |
Last Update Date | 2025-07-08 |