| NPI | 1255611257 |
|---|---|
| Former Name | ANN LORRAINE GILLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9265474) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: FL ND9077) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2019-11-18 |