NPI | 1205412103 |
---|---|
Former Name | JAIMIE MCHALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 32947) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000218793) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 32947) | |
Enumeration Date | 2021-03-22 |
Last Update Date | 2023-04-27 |