| NPI | 1659900629 |
|---|---|
| Former Name | JILL KANNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery Surgical Critical Care (Licence: HI MD-25390-0) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 261371) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2025-04-09 |