| NPI | 1326889080 |
|---|---|
| Former Name | BLAINE MARIE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 36420) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 36420) |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-07-03 |