Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD047258 | DC |
Y | 207VG0400X | Gynecologist | 0101272432 | VA |
N | 207VX0000X | Obstetrician | 0101272432 | VA |
NPI | 1871989749 |
---|---|
Provider Name | Elizabeth Brunn |
First Address | Arlington, VA 22205-3690 |
Second Address | Arlington, VA 22205-3690 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2015 |
Last Update Date | 20/10/2021 |