| NPI | 1609136431 |
|---|---|
| Former Name | JILL MARIE TIMMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 17906) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 89885) |
| Enumeration Date | 2012-05-27 |
| Last Update Date | 2022-01-28 |