| NPI | 1770924771 |
|---|---|
| Former Name | AMANDA M THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD477451) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 56214) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MO 2017018232) | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2022-08-19 |