| NPI | 1780098012 |
|---|---|
| Former Name | JILLIAN LAUREN CANTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NJ 25MA10582600) |
| Enumeration Date | 2014-06-14 |
| Last Update Date | 2019-07-08 |