| NPI | 1922473149 |
|---|---|
| Former Name | NICOLE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA DI60623977) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2019-06-05 |