| 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 | 2025-02-15 |