| NPI | 1306551122 |
|---|---|
| Other Name | JAIME INGRAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-04-26 |