| NPI | 1568476638 |
|---|---|
| Former Name | STACEY VIOLET MAPP THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0060929) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-06-22 |