| 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 |