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 |