| NPI | 1235488594 |
|---|---|
| Former Name | BETH ANNE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NJ 26NJ00393900) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101-0136659) |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2024-02-22 |