| NPI | 1972889749 |
|---|---|
| Former Name | AMANDA VALERIE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5008082) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305540-1) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2023-11-07 |