NPI | 1689979957 |
---|---|
Former Name | CHRISTIN MICHELLE GILLILAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 685550) |
Enumeration Date | 2011-01-18 |
Last Update Date | 2016-01-07 |