| NPI | 1730609835 |
|---|---|
| Former Name | SUSAN ELAINE THURMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA059212) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA004166) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2025-08-24 |