| NPI | 1326533894 |
|---|---|
| Former Name | JAYME POTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008035A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28182993A) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2022-07-08 |