NPI | 1124451422 |
---|---|
Former Name | JESSICA ANN THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: HI 1564) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: HI 1564) |
Enumeration Date | 2013-08-10 |
Last Update Date | 2014-11-10 |