| NPI | 1659756849 |
|---|---|
| Former Name | JILLIAN LEIGH ANGELO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A146626) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2026-09-15 |