NPI | 1427082023 |
---|---|
Former Name | CHRISTINE C THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA00807) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 253545) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2016-05-10 |