| NPI | 1992944656 |
|---|---|
| Former Name | LAURA M GUNDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: FL PA9108898) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: SC SC1391FP) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2016-02-06 |