| NPI | 1255901799 |
|---|---|
| Former Name | NATALIA MARISSA THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95017170) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95209937) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-02-29 |