NPI | 1417417890 |
---|---|
Former Name | MARGARET THOMPSON CLEMENTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15878) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 9157) |
Enumeration Date | 2019-03-22 |
Last Update Date | 2022-08-09 |