| NPI | 1457840340 |
|---|---|
| Former Name | ANTISIA L THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN299456) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A005603) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2021-09-23 |