| NPI | 1669193066 |
|---|---|
| Former Name | JILLIAN ELIZABETH CLARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: OH RN301646) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-09-06 |