| NPI | 1336523406 |
|---|---|
| Former Name | SHERINE SHANNAE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 9323) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2295498) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2021-04-09 |