NPI | 1609360130 |
---|---|
Former Name | CORINNE LAURA BRUNO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 5934) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R2179133) |
Enumeration Date | 2018-06-18 |
Last Update Date | 2024-01-18 |