| NPI | 1548577737 |
|---|---|
| Former Name | SUSAN R HURLBURT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 4344) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA1589) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2020-09-14 |