| NPI | 1326784919 |
|---|---|
| Former Name | JANE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA ML61297524) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 61297524) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA ML61297524) | |
| Enumeration Date | 2022-05-07 |
| Last Update Date | 2022-06-29 |