NPI | 1205206463 |
---|---|
Other Name | JILLIAN ZIMMERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP015422) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010592) |
Enumeration Date | 2015-09-30 |
Last Update Date | 2024-04-05 |