| NPI | 1578226338 |
|---|---|
| Former Name | REBECCA LAUREN KUNKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP024275) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN709196) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2023-11-29 |