NPI | 1740521194 |
---|---|
Former Name | SHARYN LEE BRUNNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F306343) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 306343) |
Enumeration Date | 2013-03-11 |
Last Update Date | 2024-06-26 |