| NPI | 1568806693 |
|---|---|
| Former Name | THANA SUKHASAME WOODS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704298046) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI L2396513) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2018-05-08 |