| NPI | 1942434006 |
|---|---|
| Former Name | JODI MICHELLE THOMSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 0056362) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 60141) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2021-06-19 |