NPI | 1447275383 |
---|---|
Former Name | JUNE BUNPLOOG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101248435) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00044651) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2012-12-06 |