NPI | 1386912434 |
---|---|
Former Name | JILLIAN KAYE SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208600000X Surgery (Licence: CA A185140) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: UT 8134725-4901) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-12-05 |
Last Update Date | 2024-01-23 |