| NPI | 1417232752 |
|---|---|
| Former Name | ALEXA LIANE KUNDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 2867) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 11520) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2021-11-01 |