NPI | 1750719795 |
---|---|
Former Name | ALANA THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: AZ SN1117) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: AZ RN159267) |
Enumeration Date | 2013-10-30 |
Last Update Date | 2013-10-30 |