| NPI | 1366715724 |
|---|---|
| Former Name | JILLIAN EILEEN HUNTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 0196942) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA22066) |
| 363A00000X Physician Assistant (Licence: AZ 5893) | |
| 363AS0400X Physician Assistant, Surgical (Licence: AZ 5893) | |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2017-01-19 |