NPI | 1417605882 |
---|---|
Former Name | KERRI ANN THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015937) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC KAHN-NYRGT) |
Enumeration Date | 2022-03-15 |
Last Update Date | 2023-03-29 |