| NPI | 1487977559 |
|---|---|
| Former Name | LINDA KAY BRUNNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP3531) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN057492) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |