| NPI | 1720453566 |
|---|---|
| Former Name | JILLIAN TRABERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14534) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 199731) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2024-05-30 |