NPI | 1689623944 |
---|---|
Former Name | CATHERINE MARIE THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3004700) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3004700) |
Enumeration Date | 2006-05-06 |
Last Update Date | 2015-08-14 |