NPI | 1407949209 |
---|---|
Former Name | ANNA FURGESON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 004859) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2016-01-29 |