NPI | 1659663805 |
---|---|
Other Name | SUSANN R BRUNDRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120270) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 620325) |
Enumeration Date | 2011-05-06 |
Last Update Date | 2021-02-11 |