| NPI | 1114410529 |
|---|---|
| Former Name | COURTNEY L THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD475077) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA R-11217) |
| 207Q00000X Family Medicine (Licence: IA MD-48013) | |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2023-08-16 |