| NPI | 1649376484 |
|---|---|
| Former Name | JANE E BRUST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 261780) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 300211) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |