NPI | 1124140264 |
---|---|
Former Name | CORI LYN THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 611168) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP112329) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2020-02-25 |