NPI | 1427312198 |
---|---|
Former Name | ERIN LYN THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9113347) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-03581) |
Enumeration Date | 2012-06-27 |
Last Update Date | 2024-04-12 |