NPI | 1609227958 |
---|---|
Former Name | TRACEY ALPERIN THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301502233) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301502233) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2020-09-29 |