NPI | 1851734685 |
---|---|
Former Name | JILL E WIMBERLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 28542) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041341103) |
Enumeration Date | 2013-04-11 |
Last Update Date | 2020-12-11 |