| NPI | 1225341191 |
|---|---|
| Former Name | KRISTIN E. WUNKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9105267) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9105267) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2020-03-10 |