| NPI | 1417507294 |
|---|---|
| Former Name | JILL LUCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 95001195) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 129348) |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2021-12-01 |