NPI | 1770849317 |
---|---|
Former Name | TRISHA THOMSPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: IA MD44577) |
Enumeration Date | 2012-04-09 |
Last Update Date | 2022-10-19 |