| NPI | 1619638632 |
|---|---|
| Former Name | JILLIAN WEINBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 206475) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0101727) |
| Enumeration Date | 2022-01-02 |
| Last Update Date | 2022-12-16 |