| NPI | 1124725577 |
|---|---|
| Former Name | CHELSEA JORDAN THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 212054) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0124670) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-03-30 |