| NPI | 1841284031 |
|---|---|
| Former Name | JILL LYNELLE VIBHAKAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 33019) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 25740) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2020-04-13 |