NPI | 1881155349 |
---|---|
Former Name | SAMANTHA THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036166339) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.074645) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-27 |
Last Update Date | 2025-10-09 |