NPI | 1811223902 |
---|---|
Former Name | ELIZABETH WHITE THOMSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11005500) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1017227) |
Enumeration Date | 2009-10-23 |
Last Update Date | 2020-04-23 |