| NPI | 1982893343 |
|---|---|
| Former Name | MICHELLE BUNGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN12847) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN APN12847) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2009-11-23 |