| NPI | 1548399751 |
|---|---|
| Former Name | JILL A BREWER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 46012) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 46012) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2016-03-14 |