| NPI | 1144483470 |
|---|---|
| Former Name | JILLIAN KATHLEEN TETEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.095901) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY R1557) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2014-01-28 |