| NPI | 1912342601 |
|---|---|
| Former Name | TINA MARIE BRUNI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704218710) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704218710) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2025-08-04 |