| NPI | 1396731410 |
|---|---|
| Former Name | MICHELLE A THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 51829) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD23927) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2023-03-07 |