| NPI | 1487877551 |
|---|---|
| Former Name | BONNIE HEATHER SCIAMBRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 28202) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0078684) |
| 207Q00000X Family Medicine (Licence: AK 6796) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-07-03 |