| NPI | 1376736082 |
|---|---|
| Former Name | CHARLENE MARIE TUNKIEICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9227595) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2011-10-07 |