| NPI | 1225313943 |
|---|---|
| Former Name | JAMIE MESSINO LILIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201908210NP-PP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP011666) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2021-01-29 |