| NPI | 1386143501 |
|---|---|
| Former Name | KENDRA LORRAINE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 132756) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC LEE1-YIBGK1) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AK 132756) | |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2019-02-19 |