| NPI | 1760519920 |
|---|---|
| Former Name | JULIE M THOMPSON HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 1603) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: OK 1603) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2022-10-26 |