| NPI | 1457660961 |
|---|---|
| Former Name | JENETRIA LASHUN THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 246912) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-009035) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2021-03-08 |