NPI | 1992027205 |
---|---|
Former Name | KRISTI TOMETTE THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: GA RN117548) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: GA RN117548) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN117548NP) | |
Enumeration Date | 2010-02-28 |
Last Update Date | 2018-12-06 |