| NPI | 1649742149 |
|---|---|
| Former Name | CYNTHIA DIANE BUCKNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25247) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN165055) |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2020-09-30 |