| NPI | 1013461425 |
|---|---|
| Other Name | MARITESS GONZALES THOMAS-FORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN161969) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN161969) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2022-12-08 |