| NPI | 1982929410 |
|---|---|
| Former Name | JILLIAN LOUISE EWING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 56903) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 56903) |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2015-08-19 |