| NPI | 1700255452 |
|---|---|
| Former Name | ANSLEY PAIGE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 7747) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2022-05-05 |