| 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 |