| NPI | 1346508363 |
|---|---|
| Former Name | SHAVONDA THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2015-01471) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TN 56231) |
| 207R00000X Internal Medicine (Licence: TN 56231) | |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2023-03-29 |