| NPI | 1083786859 |
|---|---|
| Former Name | JAMIE HOLLIS-HEIMEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7455) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WI 3816-012) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2021-12-02 |