NPI | 1649739582 |
---|---|
Former Name | LAURA THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023772) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.023772) |
Enumeration Date | 2019-03-19 |
Last Update Date | 2024-12-02 |