NPI | 1427131721 |
---|---|
Former Name | MARY HELEN THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ID PA-564) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID PA-564) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2024-04-28 |