| NPI | 1720146947 |
|---|---|
| Former Name | JILL ELIZABETH AUTHMUTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD 2003005233) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2021-09-23 |