| NPI | 1720331069 |
|---|---|
| Former Name | JILL JOSEPJ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.14003) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.14003-NP) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2017-01-11 |