| NPI | 1407025133 |
|---|---|
| Former Name | SUDHA THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277-000860) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209002248) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2025-04-16 |