| NPI | 1073837811 |
|---|---|
| Former Name | JEANETTE Z THORNTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH S-0029829) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN-074728-MEDS) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2012-12-18 |