| NPI | 1396105557 |
|---|---|
| Former Name | REBECCA J BRUNETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10001968A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001968A) |
| 363AS0400X Physician Assistant, Surgical (Licence: IN 10001968A) | |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2022-11-22 |