| NPI | 1720452022 |
|---|---|
| Former Name | MOIRA IRENE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA 95002672) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |