| NPI | 1114178282 |
|---|---|
| Former Name | WENDY ANN THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 4195) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX 00180553) |
| 363A00000X Physician Assistant (Licence: OH 50.003768) | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2017-03-10 |