| NPI | 1326789488 |
|---|---|
| Former Name | JAMIE MICHELLE ROTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 110016868) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-07-03 |