| NPI | 1447703087 |
|---|---|
| Former Name | JILLIAN DAINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1143362) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |