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 |