NPI | 1134271786 |
---|---|
Former Name | SHAREE TERRELLE THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R145200) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R145200) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: VA 0001169328) | |
Enumeration Date | 2007-01-16 |
Last Update Date | 2008-11-22 |