NPI | 1083152466 |
---|---|
Former Name | LACIE A THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL APRN9328029) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL APRN9328029) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2024-01-23 |