NPI | 1457572596 |
---|---|
Former Name | CASANA RAE BRUNTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01074372A) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 6580) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2020-03-10 |