NPI | 1619203114 |
---|---|
Former Name | ERIN R. GURSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA60306131) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-01343) |
Enumeration Date | 2009-10-19 |
Last Update Date | 2016-12-29 |