NPI | 1124885454 |
---|---|
Former Name | DANIELLE MARIE THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AL 1-122297) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: AL 1-122297) |
363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: AL 1-122297) | |
Enumeration Date | 2024-03-04 |
Last Update Date | 2024-04-03 |