NPI | 1427235928 |
---|---|
Former Name | MARY-ELIZABETH M THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00153000) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 26NJ00153000) |
Enumeration Date | 2008-01-28 |
Last Update Date | 2019-09-13 |