| NPI | 1154301455 |
|---|---|
| Former Name | CHRISTA MAE THOMASMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01062526A) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: IN 01062526A) |
| 207Q00000X Family Medicine (Licence: WI 73469-20) | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2024-01-18 |