| NPI | 1558885715 |
|---|---|
| Former Name | CAROL RENEE BUNKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.015989) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-015989) |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2024-04-15 |