| NPI | 1417591173 |
|---|---|
| Former Name | DIMI DAWN JOLLIFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209019681) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 209019681) |
| 208000000X Pediatrics (Licence: IL 209019681) | |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2023-03-10 |