| NPI | 1871167593 |
|---|---|
| Former Name | ELIZA RUTH THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MN 72141) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 72141) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2024-07-10 |