| NPI | 1881074615 |
|---|---|
| Former Name | HEIDY NICOLE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 308871) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 649705-1) |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2019-09-30 |