| NPI | 1710211180 |
|---|---|
| Former Name | LEA MARIE DUNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA21171) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001128A) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2024-07-10 |