| NPI | 1427728880 |
|---|---|
| Other Name | THELMA JEAN ST.AMOUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704253509) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 12020) |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2024-11-22 |