| NPI | 1932653854 |
|---|---|
| Former Name | JILLIAN LAURA ZUPPO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0011687) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0048829) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2023-01-05 |