| NPI | 1326256959 |
|---|---|
| Former Name | MARY THOMPSON DEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP 30002199) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201150066NP) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2021-02-15 |