NPI | 1114985660 |
---|---|
Former Name | KARI J THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2005-0028) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NM PA2005-0028) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2018-03-17 |