NPI | 1457333254 |
---|---|
Former Name | CHRISTINA LEIGH GUNNET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA191889) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 103884) |
363AM0700X Physician Assistant Medical (Licence: NC 103884) | |
Enumeration Date | 2005-11-17 |
Last Update Date | 2024-03-06 |