| NPI | 1649558479 |
|---|---|
| Former Name | JILL CAROLYN SEGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 12495745-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 76917) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005742) | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2024-03-06 |