| NPI | 1033362462 |
|---|---|
| Former Name | ASHLEY CAROLYN FURGASON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: MO 2010000950) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085003334) |
| 363A00000X Physician Assistant (Licence: MO 2010000950) | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2024-09-12 |