| NPI | 1811496755 |
|---|---|
| Former Name | JULIA BUNNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 294330) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070021498) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2019-01-03 |