| NPI | 1871883926 |
|---|---|
| Former Name | JILL MARIE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 95068) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MN 60512) |
| 207X00000X Orthopaedic Surgery (Licence: WI 57968) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2023-07-03 |