| NPI | 1508293077 |
|---|---|
| Former Name | ELISHA N BUNTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008099) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008099) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2014-09-04 |