| NPI | 1578714986 |
|---|---|
| Former Name | ALICIA J BRUNNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA176350) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA001137) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2018-12-27 |