NPI | 1750844494 |
---|---|
Former Name | FELICIA L THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP10118) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP10118) |
Enumeration Date | 2019-04-10 |
Last Update Date | 2024-11-07 |