NPI | 1952565855 |
---|---|
Former Name | KRISTEN ANNE THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NC 2008-01178) |
Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery (Licence: NC 2008-01178) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2011-10-27 |