NPI | 1255076444 |
---|---|
Former Name | ABIGAIL JEANNE THURINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 15048) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.007505RX) |
Enumeration Date | 2022-05-02 |
Last Update Date | 2025-07-15 |