NPI | 1265580112 |
---|---|
Former Name | TERI LYNN KUNIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G80071) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G080071) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2023-03-30 |