NPI | 1265779870 |
---|---|
Former Name | MARY F KUNST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA08197) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08197) |
Enumeration Date | 2013-01-16 |
Last Update Date | 2024-01-17 |