| NPI | 1942608997 |
|---|---|
| Former Name | TANGELA DENISE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08081) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP08081) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2024-09-26 |