NPI | 1962465641 |
---|---|
Former Name | LISA-GAIL SIMONE THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 131685) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 057853) |
207R00000X Internal Medicine (Licence: NC 117206) | |
Enumeration Date | 2006-04-11 |
Last Update Date | 2019-12-26 |