| NPI | 1033415757 |
|---|---|
| Former Name | LAURA J JAIME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704224207) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704224207) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2014-11-03 |