| NPI | 1689139297 |
|---|---|
| Former Name | AUTUMN NICOLE BRUNI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9310880) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9310880) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-03-04 |