| NPI | 1285284844 |
|---|---|
| Former Name | JAMIE LYNN BOMBARDIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26342) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 240110) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2022-03-23 |