| NPI | 1760798508 |
|---|---|
| Former Name | KIMBERLY A BRUNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 2019001247) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9353850) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MO 2010016428) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209.008308) | |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2019-03-19 |