NPI | 1760800940 |
---|---|
Former Name | NIA J. THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MO 2021032877) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 309003) |
Enumeration Date | 2014-04-03 |
Last Update Date | 2021-10-28 |