| NPI | 1679247217 |
|---|---|
| Former Name | ANNA VIRGINIA BRUCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 25255) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5015308) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2023-07-10 |