| NPI | 1023329877 |
|---|---|
| Former Name | RENEE THURBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00563800) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C04251) |
| 363AM0700X Physician Assistant, Medical (Licence: VA 0110004758) | |
| 363AM0700X Physician Assistant, Medical (Licence: DC PA030921) | |
| Enumeration Date | 2010-06-27 |
| Last Update Date | 2023-03-16 |