| NPI | 1245788231 |
|---|---|
| Former Name | JILLIAN THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 4615) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00408200) |
| 363A00000X Physician Assistant (Licence: OH 50.006479RX) | |
| 363A00000X Physician Assistant (Licence: NY 020018) | |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2022-03-07 |