| NPI | 1073959979 |
|---|---|
| Former Name | METTA KATHERINE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MO 2013021884) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2019-05-15 |