| NPI | 1437532462 |
|---|---|
| Former Name | BEVERLY THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: TX 746559) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: TX 74559) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |