NPI | 1891159786 |
---|---|
Former Name | SHEENA AMIE THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA060441) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110005304) |
Enumeration Date | 2016-04-07 |
Last Update Date | 2019-07-18 |