NPI | 1356951693 |
---|---|
Other Name | CASEY JEAN MORNINGSTAR THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11010909) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9297709) |
Enumeration Date | 2020-08-02 |
Last Update Date | 2024-08-07 |