| NPI | 1720531148 |
|---|---|
| Former Name | EMILY THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA 54030) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA54030) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2025-03-11 |