| NPI | 1508436197 |
|---|---|
| Former Name | KENNEDI THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MI 4704348687) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-09-24 |