NPI | 1659993715 |
---|---|
Former Name | TESSY THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134665) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP134665) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP1344665) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP134665) | |
Enumeration Date | 2020-05-12 |
Last Update Date | 2020-05-12 |