| NPI | 1730229535 |
|---|---|
| Former Name | WANDA MILLNER THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00504800) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 940025) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2021-04-12 |