| NPI | 1871106575 |
|---|---|
| Former Name | ELISABETH MARY BRUZEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MN 7090) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: WI 3868) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2024-10-23 |