NPI | 1902176662 |
---|---|
Other Name | MARIA THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1875) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009337) |
Enumeration Date | 2012-01-11 |
Last Update Date | 2013-08-01 |