| NPI | 1518591312 |
|---|---|
| Former Name | VICTORIA FAITH THOMSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9112913) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9112913) |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-09-01 |