| NPI | 1639528938 |
|---|---|
| Former Name | MAYA SUSAN THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 76540) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0076540) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2022-11-11 |