| NPI | 1902316938 |
|---|---|
| Former Name | REBECCA SUSANNE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017033714) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016632) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2021-03-03 |