| NPI | 1952784050 |
|---|---|
| Former Name | JILLIAN GEHLFUSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH F05170162) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH RN.386859) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2017-08-08 |