| NPI | 1285169847 | 
|---|---|
| Former Name | JILLIAN CHRISTINE REDDMANN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601010161) | 
| Additional Taxonomies | 363A00000X Physician Assistant | 
| Enumeration Date | 2017-04-20 | 
| Last Update Date | 2024-10-21 |