| NPI | 1700273935 |
|---|---|
| Former Name | DAVILLIA PHERLETTE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP 9338731) |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2015-09-24 |