NPI | 1336204973 |
---|---|
Former Name | JAMIE WYNN GILBERTSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WI 2182033) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 2182) |
Enumeration Date | 2006-12-26 |
Last Update Date | 2023-09-14 |