NPI | 1114189560 |
---|---|
Former Name | TAMMI T THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD045398) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN D974006118320) |
207R00000X Internal Medicine (Licence: OH 35-097267) | |
Enumeration Date | 2008-06-26 |
Last Update Date | 2018-03-17 |