| NPI | 1124704028 |
|---|---|
| Former Name | KATHERINE ANN BRUNGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AK 122252) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-26 |