| NPI | 1336690288 |
|---|---|
| Former Name | PANGAA BUNIYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019015720) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R0120309) |
| Enumeration Date | 2016-10-16 |
| Last Update Date | 2025-05-21 |