| NPI | 1134292352 |
|---|---|
| Former Name | BETSY KENDALL BUNCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA003460L) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 2891) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA003460L) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2025-02-18 |