| NPI | 1427696434 |
|---|---|
| Former Name | JAMIE MARIE MCCANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NC 5012811) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 292504) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NC 5012811) | |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2024-08-05 |