NPI | 1457960486 |
---|---|
Former Name | JILLIAN SCOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10820) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 127269) |
Enumeration Date | 2020-07-27 |
Last Update Date | 2024-09-03 |