| NPI | 1093934713 |
|---|---|
| Former Name | JENNIFER BUNDALIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A-105453) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA08216000) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-02-11 |