| NPI | 1750699310 |
|---|---|
| Former Name | JILLIAN MARIE BARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN252978) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN252978) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2015-01-30 |