| NPI | 1134447048 |
|---|---|
| Former Name | MEGHAN WOLCOTT THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D77401) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DC MD042140) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2016-11-30 |