NPI | 1033453261 |
---|---|
Former Name | LEANNE P THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9355143) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75684-121) |
Enumeration Date | 2012-11-10 |
Last Update Date | 2020-02-04 |