NPI | 1437406998 |
---|---|
Former Name | LAURA E THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH COA.13688-NP) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OH RN.266842-COA1) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2014-01-14 |