| NPI | 1871547760 |
|---|---|
| Former Name | DIANE NUNLEY HUNGERFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: OR PA00848) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: AK PADA894) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2024-10-11 |