| NPI | 1750488227 |
|---|---|
| Former Name | PAULA L BUNKERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: SD 8578) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD00046409) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2013-02-19 |