| NPI | 1801270350 |
|---|---|
| Former Name | KATHRYN E. BRUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 075139-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2291390) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2022-01-20 |