| NPI | 1952596827 |
|---|---|
| Other Name | ALISA THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 64999) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 194734-4405-8900) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2022-07-05 |