NPI | 1235697749 |
---|---|
Former Name | KURSTYN T PFLEEGOE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA006245) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE 1157180) |
363A00000X Physician Assistant (Licence: VA 0110007261) | |
Enumeration Date | 2019-03-05 |
Last Update Date | 2024-11-08 |