| NPI | 1386077576 |
|---|---|
| Former Name | ELLA M THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024166312) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001180347) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166312) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |