| NPI | 1861768780 |
|---|---|
| Former Name | JENNY ELYSE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01082540A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2015-0035) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2019-08-01 |