NPI | 1417026410 |
---|---|
Former Name | AMANDA J THOMSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200850093NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN-220) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2021-12-07 |