| NPI | 1891181772 |
|---|---|
| Former Name | JULIA CAMILLE THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.133012) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35-133012) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2022-08-01 |