| NPI | 1053690347 |
|---|---|
| Former Name | JAMIE LYNN MCBETH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: IA 115503) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 115503) |
| 163WH0200X Registered Nurse, Home Health (Licence: IA 115503) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |