| NPI | 1689308207 |
|---|---|
| Former Name | MARY THERESA THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 5016508) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NC 286633) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2023-01-04 |