| NPI | 1629112354 |
|---|---|
| Former Name | NADINE SETONA GARTNER THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MD C01723) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2017-12-04 |