| NPI | 1225470651 |
|---|---|
| Former Name | JILL E GROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14868) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.14868) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2020-11-19 |