| NPI | 1306812854 |
|---|---|
| Former Name | JENNIFER LYNN THOME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301087397) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: MI 4301087397) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2024-01-11 |