NPI | 1124782040 |
---|---|
Other Name | MARJORIE THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11015809) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9474041) |
363LF0000X Nurse Practitioner, Family (Licence: IA A176692) | |
363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP002177) | |
Enumeration Date | 2021-10-27 |
Last Update Date | 2024-06-26 |