NPI | 1033271796 |
---|---|
Former Name | JILL LYNLEE HANCOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 12584) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 529799) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2013-12-13 |