| NPI | 1518433564 |
|---|---|
| Former Name | LAQUISHA M THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9900-33) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: IL 209018312) |
| 363L00000X Nurse Practitioner (Licence: IL 209018312) | |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2021-10-13 |