| NPI | 1104293570 |
|---|---|
| Former Name | SARAH MICHELLE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A127732) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A127732) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA A127732) | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2019-09-09 |