NPI | 1114261229 |
---|---|
Former Name | EMILY GRACE THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60320121) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60320121) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2012-11-15 |