NPI | 1427532589 |
---|---|
Former Name | NIMMY THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP138342) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX AP138342) |
Enumeration Date | 2018-09-24 |
Last Update Date | 2019-07-17 |