| NPI | 1295930543 |
|---|---|
| Former Name | JAMIE Y MANGRUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME120131) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME120131) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2023-07-10 |