| NPI | 1417222027 |
|---|---|
| Former Name | JAMI MARIE VANDERWIELEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 21469) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CA NP21469) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2020-05-11 |