| NPI | 1831527191 |
|---|---|
| Former Name | AUTUMN K FINGERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-6493) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA23245) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2022-11-27 |