NPI | 1285673780 |
---|---|
Former Name | JAMIE J LOWRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209003494) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209003494) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2021-10-15 |