| NPI | 1669539094 |
|---|---|
| Former Name | VIVIAN A. BRUCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN159555) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: AL 1-050977) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |