NPI | 1295125342 |
---|---|
Former Name | JENNIFER LYNN GILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH APRN.CNP.021157) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021157) |
Enumeration Date | 2015-01-28 |
Last Update Date | 2024-03-11 |