| NPI | 1326784919 |
|---|---|
| Former Name | JANE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD70015252) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A205152) |
| 208000000X Pediatrics (Licence: SD 17925) | |
| Enumeration Date | 2022-05-07 |
| Last Update Date | 2026-05-20 |