| NPI | 1265715254 |
|---|---|
| Former Name | TIA D THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 807424) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2023-07-06 |