| NPI | 1518197672 |
|---|---|
| Former Name | STEPHANIE ALEXANDER NUNEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX pa11231) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085004114) |
| 363AS0400X Physician Assistant, Surgical (Licence: LA PA.200289) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2018-05-03 |