| NPI | 1538799390 |
|---|---|
| Former Name | SISY THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 247977) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 247977) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: AZ 247977) | |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2023-10-06 |