NPI | 1871075119 |
---|---|
Former Name | DAISY SOBHA THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137437) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 734278) |
363L00000X Nurse Practitioner (Licence: TX AP137437) | |
Enumeration Date | 2018-09-04 |
Last Update Date | 2019-07-02 |