NPI | 1467403402 |
---|---|
Former Name | JILL A HANCOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17767) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9223039) |
Enumeration Date | 2006-05-15 |
Last Update Date | 2014-03-19 |