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 |