| NPI | 1114209145 |
|---|---|
| Former Name | JULIE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0946) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4247) |
| 363A00000X Physician Assistant (Licence: ME PA001305) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2018-03-01 |