| NPI | 1770618431 |
|---|---|
| Former Name | PATRICIA LYNN BUNGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: HI 660) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2019-07-23 |