NPI | 1588996110 |
---|---|
Former Name | VANESSA J GUNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WY 557) |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2010-02-07 |
Last Update Date | 2021-05-25 |