NPI | 1255834859 |
---|---|
Former Name | ASHLEY M THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 5728) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MN 5728) |
Enumeration Date | 2018-03-10 |
Last Update Date | 2021-09-08 |