| NPI | 1174051916 |
|---|---|
| Former Name | GABRIELLE TERESE BUNK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: WI 224107) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |