| NPI | 1205168150 |
|---|---|
| Other Name | JILL C WHITEBECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: MT MED-PAC-LIC-606) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MT 606) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2021-12-14 |