| NPI | 1477100584 |
|---|---|
| Former Name | ANDREA NICOLE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-105519) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-105519) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2024-03-26 |