| NPI | 1275761082 |
|---|---|
| Former Name | AMBER LYNETTE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX BP10035634) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX N8842) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2022-04-11 |