NPI | 1275973455 |
---|---|
Former Name | SONYA L. PUNZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77579) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013021888) |
Enumeration Date | 2013-07-02 |
Last Update Date | 2017-09-11 |