NPI | 1215285044 |
---|---|
Former Name | JILLIAN JOYCE ISIP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704263498) |
Enumeration Date | 2012-08-28 |
Last Update Date | 2013-02-01 |