| NPI | 1467451583 |
|---|---|
| Former Name | AVA J. THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: CO 721) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: VI 1188) |
| 213E00000X Podiatrist (Licence: PA SC004676R) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2021-02-24 |