NPI | 1003200700 |
---|---|
Former Name | SUSAN THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S3021) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.146950) |
207R00000X Internal Medicine (Licence: TX S3021) | |
208M00000X Hospitalist (Licence: IL 036.146950) | |
Enumeration Date | 2015-03-20 |
Last Update Date | 2022-03-18 |