NPI | 1124084876 |
---|---|
Former Name | PENELOPE ANNE THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: SC 27349) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: SC 27349) |
Enumeration Date | 2006-04-21 |
Last Update Date | 2012-02-02 |