NPI | 1437766136 |
---|---|
Former Name | JILLIAN HOPE SIPES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704313319) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704313319) |
Enumeration Date | 2020-09-26 |
Last Update Date | 2021-10-05 |