| NPI | 1053726976 | 
|---|---|
| Former Name | LIA MARIAM THOMAS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01087095A) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q8369) | 
| Enumeration Date | 2014-06-30 | 
| Last Update Date | 2024-07-15 |