| NPI | 1427240951 |
|---|---|
| Former Name | JESSICA MYRA GAITHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A03423) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9265161) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2010-08-10 |