| NPI | 1013207489 |
|---|---|
| Former Name | DEANNA JANE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP4267) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2012-01-26 |