NPI | 1205313418 |
---|---|
Former Name | ALEXANDRA JASMINE THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95009272) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95107485) |
363L00000X Nurse Practitioner (Licence: CA 95009272) | |
Enumeration Date | 2018-07-20 |
Last Update Date | 2023-03-10 |