| NPI | 1942706551 |
|---|---|
| Former Name | HEATHER N BRUNGES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME149376) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 52636) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2021-08-17 |