| NPI | 1790874188 |
|---|---|
| Former Name | JANET L. BRUNNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 565) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA001978L) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-03-17 |