| NPI | 1790228575 |
|---|---|
| Former Name | JILLIAN R RANKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: SC 4734) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA058775) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2024-01-29 |