| NPI | 1902470578 |
|---|---|
| Former Name | KIMBERLEE LAUREN THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2021021947) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2022-09-26 |