NPI | 1932557964 |
---|---|
Former Name | LEAH THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016023937) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2016023937) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2006028052) | |
Enumeration Date | 2016-05-31 |
Last Update Date | 2024-09-09 |