| NPI | 1275715682 |
|---|---|
| Former Name | JENNIFER L THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ND R27194) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2016-07-25 |