| NPI | 1548454820 |
|---|---|
| Former Name | BRYN FURLONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004495) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY MF1392430) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2016-08-10 |