| NPI | 1386978427 |
|---|---|
| Former Name | JAIME DAWN MARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 57520) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.148958) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2025-09-11 |