| NPI | 1588256846 |
|---|---|
| Former Name | LYDIA MARIE THATCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: ID 66852) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: AZ 250264) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2023-10-23 |