| NPI | 1215360284 |
|---|---|
| Former Name | VIVIAN MARIE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP12414 / RN 769952) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2015-04-24 |