| NPI | 1245541994 |
|---|---|
| Former Name | SMITHA MARY THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OH 35.120217) |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging (Licence: OH 35.120217) |
| 2085N0904X (Licence: OH 35.120217) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL ME117157) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2020-10-19 |