| NPI | 1225113855 |
|---|---|
| Former Name | JANET MICHELE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA G73576) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: CO 41932) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CO 41932) | |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: CO 41932) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2015-07-30 |