| NPI | 1427539469 |
|---|---|
| Former Name | GRACE BRUENING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L005564) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NC 86049634) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2021-11-15 |