NPI | 1447234166 |
---|---|
Former Name | HAZEL LOUISE THOMPSON-ZIELKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 5001109) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 0050-01109) |
Enumeration Date | 2005-12-06 |
Last Update Date | 2014-05-23 |