| NPI | 1386613552 |
|---|---|
| Former Name | SANDRA E. BRUNK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F304302-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP004945C) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2021-03-05 |