NPI | 1184029019 |
---|---|
Former Name | JAYME FARLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005277A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28168278A) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2022-06-10 |