NPI | 1992766505 |
---|---|
Other Name | JENNIE ORR THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 25813) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 24236-20) |
Enumeration Date | 2006-03-31 |
Last Update Date | 2011-10-19 |