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 |