| NPI | 1548347297 |
|---|---|
| Former Name | CONSTANCE DUNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA204761) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60391373) |
| 363AM0700X Physician Assistant, Medical (Licence: IA 001644) | |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA60391373) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-08-13 |